Cqr Qtip

QTip: Patients with new neurologic deficits that present outside the reperfusion window or with unknown duration of symptoms may have a time-sensitive dangerous condition other than acute ischemic stroke (e.g. intracranial hemorrhage) and should be considered for expeditious evaluation +/- neuroimaging.Read more


A 46 year old female with a history of rheumatoid arthritis, on daily steroids, presents complaining of abdominal pain, nausea, and vomiting x 5 days. She has been unable to tolerate PO, including her medications for the past three days. Upon arrival, she is afebrile, with a BP of 69/40, and HR 130. Fingerstick glucoseRead more


A 22 year old male is brought into the ED by EMS, after being pulled out of the lake in Central Park. He had been walking on the ice when it broke, and he fell into the water. His friends were able to drag him to shore. As per EMS, he was found to beRead more

Frozen Feet

After a four hour football game in Denver in the sleet, -21 degrees with windchill, a player took off his cleats in the locker room and reported that his feet felt numb. The trainer noted bilateral white extremities with an area of ecchymosis and blistering, along with decreased sensation bilaterally and was concerned for frostbite. How is this managedRead more

Billing Headaches

A group of employees present from the billing office complaining of headache and dizziness. Because it’s been so cold recently, one of them brought in a space heater to keep under her desk. What are you concerned about? How would you go about working this up? What would the treatment be?Read more